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DocuSign Envelope ID:9B3E4DCD-E515-4478-B6AB-CB885F37A67E <br /> HAZE&SA-01 <br /> ACC7R[7 CERTIFICATE OF LIABILITY INSURANCE DATE(MMI201YI <br /> 07fOT101 8 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). <br /> PRODUCER C NTACT <br /> p <br /> �_t�IAME. — <br /> Ames&Gough - PHONE ---. .. -...--.- FAX <br /> 8300 Greensboro Drive (AIC,Mo,Ex_tl:(703)827-2277 (ARC,Nv;(i Y93 <br /> _I 827-2219 <br /> Suite 980 Ea"I I admin amos OLI h.com <br /> McLean,VA 22102 <br /> INSURE AFFORDING COVERAGE _ NAICF <br /> INSURER A.Continental CasualtV Companv MINIM A XV 20443 <br /> INSURED INsuRER B:Ironshore Specialty Insurance Company,A 25445 <br /> Hazen and Sawyer INSURER C: <br /> 498 Seventh Avenue INSURER D: <br /> Mew York,NY 10018 <br /> INSURETL E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE N MBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER[DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES-LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR I TYPE OF INSURANCE .WOOL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 3 <br /> CLAIMS-MADE ]OCCUR DAMAGE TO RENTED <br /> S(Ek <br /> MEO EXP(Any one rson <br /> PERSONAL&_AOV INJURY - <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL_AGGREGATE _ <br /> POLICY El Ppa ❑LOC PRODUCTS-COMPIOP AGG <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> `ANY AUTO BODILY INJURY(Per Person) S <br /> OWNED SCHEDULED AUTOS ONLY AUTOS <br /> yyy p BODILY INJURY Per accident S <br /> At TOS ONLY AllTOS f7NLY �I�OPERpYt GE S <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> OED FT-RETENTION <br /> WORKERS COMPENSATION 57ATUTE OTH- <br /> AND EMPLOYERS'LIABILITY YIN <br /> CA�N�Y PROPRIIET6OERR+PARTNERIEXECUTIVE E.L..EACH ACCIDENT <br /> (MFandaED MirMiHI{}EXCLUDED? NIA <br /> EL DISEASE-EA EMPLOYE <br /> IT yyes,deswbe under _-- _- <br /> OESCRIPTION OF OPERATIONS be E.L DISEASE-POLICY LIMIT S _ <br /> A Professional Liab ;AEHDO8231489 03129/2018 0312912019 Per ClaimiAggregate 1,000,000 <br /> B Cyber Liability 002880201 08/0912017 08/0912018 Aggregate 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addi"rml Remarks Schedule,may be attached ff more space is required) <br /> CERTIFICATE HOLD CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange Coon Planning&Ins Inspections Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> g County J p P ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> 131 W Margaret Lane <br /> Hillsborough,NC 2727$ 1 AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />